Active NPI
Joseph G Kirkpatrick Jr., MD
- Cardiovascular Disease Physician
- Worcester, MA
National Provider Identifier
1821072109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 70386
- Practice address
- 123 Summer St
Suite 290 N
Worcester, MA 01608-1312 - Phone
- (508) 368-3130
- Fax
- (508) 368-3133
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 70386 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Suite 290 N
Worcester, MA 01608-1312
Mailing address
630 Plantation St
Worcester, MA 01605
Phone (508) 368-3130
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA2359 | Other | HARVARD PILGRIM HLTHCARE | |
| J09324 | Other | BLUE SHIELD HMO BLUE | |
| J09324 | Other | MEDICARE B | |
| 3055655 | Other | MEDICAID/WELFARE | |
| 784042 | Other | MVP HEALTH CARE | |
| 26822 | Other | HEALTHY START | |
| J09324 | Other | BLUE SHIELD INDEMNITY | |
| 042472266 | Other | HLTHCARE VALUE MANAGEMENT | |
| 4008126 | Other | AETNA/US HEALTHCARE | |
| 3055655 | Medicaid | MA | |
| 9900283 | Other | FALLON COMM HEALTH PLAN | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 042472266 | Other | PRIVATE HLTHCARE SYSTEMS | |
| 2500245 | Other | EVERCARE | |
| J09324 | Other | BLUE CARE ELECT | |
| 26822 | Other | CHILDREN MED SECURIT PLAN | |
| 5560410 | Other | CIGNA HEALTH PLAN | |
| 1060835 | Other | FIRST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Pennsylvania State University College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70386 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- joseph.kirkpatrickjr.npi1821072109.reliant@direct.optumcare.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1821072109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-368-3130",
"fax_number": "508-368-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 290 N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081312",
"telephone_number": "508-368-3130",
"fax_number": "508-368-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "JOSEPH",
"middle_name": "G",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "70386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTHCARE",
"identifier": "AA2359",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J09324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "J09324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/WELFARE",
"identifier": "3055655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "26822",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J09324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HLTHCARE VALUE MANAGEMENT",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "4008126",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3055655",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM HEALTH PLAN",
"identifier": "9900283",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HLTHCARE SYSTEMS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "2500245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J09324",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDREN MED SECURIT PLAN",
"identifier": "26822",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "5560410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1060835",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.